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Long Island Jewish Medical Center — NPI 1740872365, Glen Oaks, NY | NPI Central

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Long Island Jewish Medical Center

NPI 1740872365 · Methadone Clinic · Glen Oaks, NY

Provider details

NPI number: 1740872365
Entity type: Organization
Primary specialty: Methadone ClinicAmbulatory Health Care Facilities
Organization subpart: No
Authorized official: Michele Cusack, Senior Vice President & Cfo(516) 321-6058

Specialties & taxonomies

Methadone ClinicPrimary261QM2800X
Ambulatory Health Care Facilities

Practice location

7559 263rd St

Glen Oaks, NY 11004-1150

Phone: (718) 470-8940

Approximate (ZIP-level) locationGet directions

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Mailing address

7559 263rd St

Glen Oaks, NY 11004-1150

Other names (DBA / former)

Doing business as: Opioid Treatment Program
Doing business as: Opioid Treatment Program

Registry dates

Enumerated: 2021-02-04
Last updated: 2025-07-29
Certified: 2025-07-29

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.